Journal of Yeungnam Medical Science
- 제5권1호
- /
- Pages.159-166
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- 1988
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- 2799-8010(eISSN)
가성 내강에서 우측 관상동맥으로 혈류가 공급되는 원인 미상의 만성 박리성 대동맥류 1례 보고
Chronic Dissecting Aortic Aneurysm with Right Coronary Artery Perfused Solely by False Lumen of Asceading Aorta
- 고명구 (영남대학교 의과대학 내과학교실) ;
- 김종명 (영남대학교 의과대학 내과학교실) ;
- 이관호 (영남대학교 의과대학 내과학교실) ;
-
김영조
(영남대학교 의과대학 내과학교실)
;
- 심봉섭 (영남대학교 의과대학 내과학교실) ;
- 이현우 (영남대학교 의과대학 내과학교실) ;
- 황미수 (영남대학교 의과대학 방사선과학교실)
- Go, Myeong-Gu (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Kim, Jong-Myung (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Kwan-Ho (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Kim, Young-Jo
(Department of Internal Medicine, College of Medicine, Yeungnam University)
;
- Shim, Bong-Sup (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Hyun-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Hwang, Mee-Soo (Department of Radiology, College of Medicine, Yeungnam University)
- 발행 : 1988.06.30
초록
Dissecting aortic aneurysm is relatively rare in those under 40 years of age without high risk factors. After dessecting aortic aneurysm is occured, the coronary artery is rarely perfused by false lumen. We present a thirty two-year-old man who showed Debakey type 1 dissecting aortic aneurysm with right coronary artery perfused by false lumen of ascending aorta and with congestive heart failure due to aortic insufficiency without discernible risk factor. Medical and surgical treament(Modified Bentall's operation) were successfully performed. The pathologic report showed combined cystic medial necrosis. Now he is well tolerated and stable only with anticoagulation during follow up 18 months.
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